Workers' Compensation is a state regulated insurance program that pays medical bills and replaces some of the wages that an employee may lose as a result of being injured at work or who have a work related disease or illness. Any employee who sustains an injury on the job must notify their immediate supervisor. The employee must complete the workers compensation form on the same day that the injury occurred. More information can be accessed in the Workers' Compensation Insurance Guide. If you have questions you can contact the Workers Compensation Team. See more on the Policy and Administrative Procedures.
First Report of Injury or Illness
The DWC Form 1 cannot be completed by the employee. The form must be completed in its entirety by the supervisor along with the employee and turned in to the Office of Human Resources Immediately. The employee will also need to complete The Request for Paid Leave form and return to the Office of Human Resources.
2003-2009 PRAIRIE VIEW A & M UNIVERSITY - ALL RIGHTS RESERVED
P.O. Box 519 - Prairie View, Texas - 77446-0519
FM 1098 Rd & University Dr, Prairie View, TX 77446
University Operator: (936) 261-3311
Best viewed with IE 7.x+ or FireFox 3.x+